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Antavian Edison
NPI 1063074292 · Social Worker · Fort Myers, FL
Antavian Edison is a Social Worker provider in Fort Myers, FL (NPI 1063074292).
Provider details
- NPI number
- 1063074292
- Entity type
- Individual
- Primary specialty
- Social WorkerBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2789 Ortiz Ave
Fort Myers, FL 33905-7806
Phone: (239) 275-3222
Street-level locationGet directions
Mailing address
3763 Evans Ave
Fort Myers, FL 33901-9302
Registry dates
- Enumerated
- 2019-07-09
- Last updated
- 2019-07-09
Frequently asked questions
- What is Antavian Edison's NPI number?
- Antavian Edison's National Provider Identifier (NPI) is 1063074292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Antavian Edison's specialty?
- Antavian Edison is listed in the NPPES registry with a primary specialty of Social Worker (Behavioral Health & Social Service Providers).
- Where is Antavian Edison located?
- Antavian Edison's practice location on file with NPPES is 2789 Ortiz Ave, Fort Myers, FL 33905-7806.
- What is Antavian Edison's phone number?
- The practice phone number listed in the NPPES registry for Antavian Edison is (239) 275-3222.
- Is Antavian Edison's NPI active?
- Yes — Antavian Edison's NPI (1063074292) is active in the NPPES registry as of the last update on 2019-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.